Organization
ALAN P. MUTO, D.O.,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN P MUTO D.O. (OWNER)
(610) 434-7343
Entity
Organization
Contact information
Practice address
1425 W LINDEN ST, ALLENTOWN, PA 18102-5048
(610) 434-7343
(610) 434-7484
Mailing address
1425 W LINDEN ST, ALLENTOWN, PA 18102-5048
(610) 434-7343
(610) 434-7484
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS005099L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00149306
—
PA
01
—
0818989
GATEWAY HEALTH PLAN
PA
01
—
1000227
MERCY HEALTH PLAN
PA
Enumeration date
12/01/2010
Last updated
12/01/2010
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